Individual
CLARK B WYSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19875 N 51ST AVE, GLENDALE, AZ 85308-5114
(623) 581-8998
(623) 581-6461
Mailing address
19875 N 51ST AVE, GLENDALE, AZ 85308-5114
(623) 581-8998
(623) 581-6461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25168
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385527
—
AZ
Enumeration date
03/06/2006
Last updated
01/10/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us